FiveSync CAD/MDT
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Citizen Creation
Image (Optional)
First Name
Last Name
Date of Birth
Social Security Number (SSN)
Gender
Male
Female
Other
Ethnicity
White
Black / African American
Asian
Indian
Hispanic
Other
Hair Colour
Eye Colour
Weight (lbs)
Height (Inches)
Address
Postal (Optional)
Phone Number (Optional)
Occupation (Optional)
Additional Information (Optional)
Drivers License
Unobtained
Valid
Invalid
Revoked
Suspended
Weapons License
Unobtained
Valid
Invalid
Revoked
Suspended
Hunting License
Unobtained
Valid
Invalid
Revoked
Suspended
Hunting License
Unobtained
Valid
Invalid
Revoked
Suspended
Fishing License
Unobtained
Valid
Invalid
Revoked
Suspended
Commercial License
Unobtained
Valid
Invalid
Revoked
Suspended
Pilots License
Unobtained
Valid
Invalid
Revoked
Suspended
Boating Permit
Unobtained
Valid
Invalid
Revoked
Suspended
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